Derrick Makoto Hong, M.D
Individual provider Active NPI Hospitalist Physician · Irvine, CA
NPI 1124040696 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1124040696
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- A78389 (CA)
- Practice address
- 16200 Sand Canyon Ave
Irvine, CA 92618-3714 - Phone
- (949) 610-7245
- Fax
- (657) 241-7720
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- University of California, San Diego School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pacific Hospitalist Associates a Medical Corporation
Practice addresses (Care Compare)
16200 Sand Canyon Ave
Irvine, CA 92618-3714
Phone (877) 742-4624
Hospital & facility affiliations
- Healthways Home Health Services, Inc
- Hoag Memorial Hospital Presbyterian
- Hoag Orthopedic Institute
- Laguna Hills Health and Rehabilitation Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 54.93 of 100
- Quality
- 53.8
- Improvement activities
- 0
- Cost
- 64.92
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040517000806 | CA | Practitioner - Hospitalist |
8527058973 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A78389 | CA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Hospitalist Associates a Medical Corporation | Internal Medicine | Current |
Accepting new patients |
| Pacific Hospitalist Associates a Medical Corporation | Internal Medicine | Current | Accepting new patients |
| Pacific Hospitalist Associates a Medical Corporation | Internal Medicine | Current |
Accepting new patients |
Locations
16200 Sand Canyon Ave
Irvine, CA 92618
Phone (949) 753-2000
1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A78389 | CA | |
| Hospitalist Physician | 208M00000X | A78389 | CA | Yes |
Addresses
Primary practice location
16200 Sand Canyon Ave
Irvine, CA 92618-3714
Mailing address
PO Box 3589
Newport Beach, CA 92659-8589
Phone (657) 241-3600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WA78389B | Other | CA | MEDICARE PTAN |
| P00201333 | Other | CA | MEDICARE RAILROAD |
Other providers in Irvine, CA
- Home Care Placement, LLC
- Mulan Homo
- Steven Yoshio Honda I
- Amy A Hong
- Bo Kyung Hong
- Elizabeth Hong
- Esther Hong
- Hee Kyung Hong
- Jonathan Hong
- Julia Hong
All providers in Irvine, CA · Hospitalist Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.